Is there any ceiling limitation on the amount deductible as a medical expense? Explain.

Case Study/Deductible Medical Expenses

Jane suffers from a degenerative spinal disorder. Her physician said that swimming could help prevent the onset of permanent paralysis and recommended the installation of a swimming pool at her residence for her use. Jane’s residence had a market value of approximately $500,000 before the swimming pool was installed.

The swimming pool was built, and an appraiser estimated that the value of Jane’s home increased by $98,000 because of the addition. The pool cost $194,000, and Jane claimed a medical expense deduction of $96,000 ($194,000 – $98,000) on her tax return.

Upon audit of the return, the IRS determined that an adequate pool should have cost $70,000 and would increase the value of her home by only $31,000. Thus, the IRS claims that Jane is entitled to a deduction of only $39,000 ($70,000 – $31,000).

Is there any ceiling limitation on the amount deductible as a medical expense? Explain.

Can capital expenditures be deductible as medical expenses? Explain.

What is the significance of a “minimum adequate facility”? Should aesthetic or architectural qualities be considered in the determination? Why or why not?